UCSD Layoff from Career Appointment: Apply by 08/11/2017 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor. Eligible Disability Counseling and Consulting services (DCC) or Special Selection clients should contact their Vocational Rehabilitation Counselor for assistance.
Under supervision, serve as Utilization Management Coordinator for UCSD Medical Group Managed Care. Primary responsibilities include reviewing & processing Utilization Mgt Coordinator referrals, Checking Benefits, Answering Phones to assist clinics & providers, and interfacing with the claims & customer service departments. Advise providers of referrals and authorization and initiate denial process. Perform other duties as required.
EPIC, Allscripts, IDX, MS Word, MS Excel, MS PowerPoint, and MS Access are required.
Excellent communication skills both verbally and in writing.
Knowledge in MS, Excel, Powerpoint and Access.
Demonstrated ability to coordinate and research the review of difficult, complex UM issues.
Knowledge in ICD-10 codes, confirm procedures using CPT codes, and various types of DME-using HCPCS codes.
Healthcare environment experience.
Must be able to work various hours and locations based on business needs.
UC San Diego is an academic powerhouse and economic engine, recognized as one of the top 8 public universities by U.S. News and World Report. Innovation is central to who we are and what we do. Here, students learn that knowledge isn't just acquired in the classroom - life is their laboratory. UC San Diego's rich academic portfolio includes six undergraduate colleges, five academic divisions and ...five graduate and professional schools. The university's award-winning scholars are experts at the forefront of their fields with an impressive track record for achieving scientific, medical and technological breakthroughs.